title: Why are we waiting? The relationship between low admission weight and end of treatment weight outcomes.
abstract: Inpatient eating disorder units are increasingly being asked to admit patients at lower BMI's, often delaying hospital treatment until medically unavoidable. This paper aims to explore the impact of this trend on treatment outcome. Eighty-two adults with anorexia nervosa admitted to a national inpatient eating disorder ward were assessed for BMI at admission, length of hospitalisation, discharge BMI and re-admission within 1-year post-treatment. In the current study, admission BMI was unrelated to amount of weight gain during treatment or to length of hospital stay. As such patients admitted at lower BMI's had significantly lower BMI's on discharge from treatment. Low admission BMI's were related to significantly higher likelihoods of re-admission within 1 year. This study provides strong evidence for the benefit of early treatment episodes and with more successful treatment outcomes being related to higher weights at start of treatment.
authors.affiliation: Department of Mental Health, St. Georges, University of London, London; South-West London and St. Georges NHS Trust, London. p0805123@sgul.ac.uk.
authors.forename: Richard
authors.initials: R
authors.lastname: Sly
authors.forename: Bryony
authors.initials: B
authors.lastname: Bamford
mesh_terms: D000293:Adolescent; D000328:Adult; D000856:Anorexia Nervosa / Q000628:therapy*; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data*; D010351:Patient Discharge; D013997:Time Factors; D016896:Treatment Outcome; D015430:Weight Gain; D055815:Young Adult
keywords: BMI; anorexia nervosa; healthcare costs; inpatient treatment; re-admission rates